Araştırma Makalesi
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Submandibular Gland Surgery: Our Experience

Yıl 2020, Cilt: 17 Sayı: 1, 45 - 49, 29.04.2020
https://doi.org/10.35440/hutfd.651611

Öz

Background: Symptoms, demographic characteristics, clinical and radiological diagnostic methods, histopathologic findings of surgical specimens, surgical complications and follow-up information of patients who underwent submandibular gland excision in our clinic. The aim of this study is to compare the results of our surgical results and complications with literature and to find out what we can do to reduce our complication rates and to investigate the domestic and international practice in order to provide better surgery to the patient.
Materials and Methods: This study was performed retrospectively by using file information of 45 patients between 2005-2019 who had undergone submandibular gland excision at Harran Research and Training Hospital Ear-Nose-Throat Clinic. Symptoms, demographic characteristics, clinical and radiological diagnostic methods, surgical specimen histopathologic findings and surgical complications of patients who underwent submandibular gland excision were obtained retrospectively from the patient files.
Results: Thirty patients (66.6%) presented with painful swelling and 15 patients (33.3%) presented with painless swelling. Histopathological examination of the surgical specimen revealed chronic sialadenitis in 20 patients (44.5%), sialolithiasis in 13 patients (28.9%), benign tumors in 5 patients (11%), malignant tumors in 2 patients (4.5%), caseified granulomatous disease in 4 patients (8.9%) 8) and ranula (2.2%) was detected in 1 patient. Marginal mandibular nerve paralysis in 2 patients (4.5%), lingual nerve paralysis in one patient (2.2%), infection in one patient (2.2%)
Conclusions: In patients presenting with mass complaints in the submandibular gland, the diagnosis was mostly chronic sialadenitis and sialolithiasis. Trans cervical submandibular gland excision is satisfactory with low complication and recurrence rates when surgical techniques are followed and applied to selected patients.

Key words: Submandibular gland, Surgery, Complications

Proje Numarası

E.35566

Kaynakça

  • 1. Açıkalın RM, Özbay İ, Veyseller B, et al. Submandibular Bez Eksizyonu: 43 Olgunun Analizi. Haseki Tıp Bülteni 2014;52(3):199-201. doi: 10.4274/haseki.1374
  • 2. Dalgic A, Karakoc O, Karahatay S, et al. Submandibular triangle masses. The Journal of craniofacial surgery 2013;24(5):e529-31. doi: 10.1097/SCS.0b013e3182a238f9
  • 3. Ellies M, Gottstein U, Rohrbach‐Volland S, Arglebe C, Laskawi R. Reduction of salivary flow with botulinum toxin: extended report on 33 patients with drooling, salivary fistulas, and sialadenitis. The Laryngoscope 2004;114(10):1856-60.
  • 4. Erbek SS, Koycu A, Topal O, Erbek HS, Ozluoglu LN. Submandibular Gland Surgery: Our Clinical Experience. Turkish archives of otorhinolaryngology 2016;54(1):16-20. doi: 10.5152/tao.2016.1467
  • 5. Harrison J, Epivatianos A, Bhatia S. Role of microliths in the aetiology of chronic submandibular sialadenitis: a clinicopathological investigation of 154 cases. Histopathology 1997;31(3):237-51.
  • 6. Lee YY, Wong KT, King AD, Ahuja AT. Imaging of salivary gland tumours. European journal of radiology 2008;66(3):419-36. doi: 10.1016/j.ejrad.2008.01.027
  • 7. Springborg LK, Moller MN. Submandibular gland excision: long-term clinical outcome in 139 patients operated in a single institution. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies 2013;270(4):1441-6. doi: 10.1007/s00405-012-2175-48.
  • 8. Bodner L, Azaz B. Submandibular sialolithiasis in children. J Oral Maxillofac Surg 1982;40(9):55l-4.
  • 9. Berçin S, Kutluhan A, Yurttaş V, Kanmaz A. Submandibuler sialolityazise yaklaşımımız. Yeni Tıp Dergisi 2009;26: 16-19.
  • 10. Siddiqui SJ. Sialolithiasis: an unusually large submandibular salivary stone. Br Dent J 2002;193:89-91.
  • 11. Perrotta RJ, Williams JR, Selfe RW: Simultaneous bilateral parotid and submandibular gland calculi. Arch Otolaryngol Head Neck Surg 1978;104(8):469-70.
  • 12. Lustmann J, Regev E, Melamed Y. Sialolithiasis: A survey on 245 patients and a review of the literature Int J Oral Maxillofacial Surg 1990;19 (3):135-8.
  • 13. Isacsson G, Isberg A, Haverling M, Lundquist PG. Salivary calculi and chronic sialoadenitis of the submandibular gland: A radiographic and histologic study. Oral Surg 1984;58(5): 622-7.
  • 14. Work WP, Hecht DW. Inflammatory diseases of the majorsalivary glands In: Papparella MM, Shumrick DF, editors.Otolaryngology Philadelphia. WB Saunders; 1980; p. 2235- 43.
  • 15. Spiro RH. Salivary neoplasms: overview of a 35-year experience with 2807 patients. Head Neck Surg 1986; 8: 177-84.
  • 16. Bentz BG, Hughes CA, Lüdemann JP, Maddalozzo J. Masses of the salivary gland region in children. Arch Otolaryngol Head Neck Surg 2000; 126: 1435-9.
  • 17. Paul D, Chaulan SR. Salivary megalith with a sialo-cutaneous and a sialo-oral fistula: A case report. J Laryngol Otol 1995;109(8):767-9.
  • 18. Rice DH. Diseases of the salivary glands non-neoplastic. In: Bailey BJ, Johnson JT, Kohut RI, eds. Head and Neck Surgery-Otolaryngology. Vol 1. Philadelphia: JB, Lippincott; 1993. p. 475-84.
  • 19. Lustmann J, Regev E, Melamed Y. Sialolithiasis: A survey on 245 patients and a review of the literature Int J Oral Maxillofacial Surg 1990;19 (3):135-8.
  • 20. Papaspyrou G, Werner JA, Sesterhenn AM. Transcervical extirpationof the submandibular gland: the University of Marburgexperience. Eur Arch Otorhinolaryngol 2014; 271: 2009-12
  • 21. Yılmaz İ, Çağıcı C A, Çaylaklı F, Akdoğan V, Özlüoğlu L N. Baş-Boyun kitlelerinde İnce iğne aspirasyon biyopsisinin yeri. Kulak Burun Boğaz İhtisas Dergisi 2008;18(4):211-15.
  • 22. Olubaniyi BO, Chow V, Mandalia U, Haldar S, Gok G, Michl P,et al. Evaluation of biopsy methods in the diagnosis of submandibularspace pathology. Int J Oral Maxillofac Surg 2014; 43: 281-5.
  • 23. Sellon E, Moody A, Howlett D. Ultrasound guided core biopsyis the diagnostic tool of choice in salivary gland swellings. BMJ2012; 345: e7782.
  • 24. Smith WP, Peters WJ, Markus AF. Submandibular gland surgery:an audit of clinical findings, pathology and postoperative morbidity. Ann R Coll Surg Eng 1993; 75: 164-7.
  • 25. De M, Kumar Singh P, Johnson AP. Morbidity associated withsubmandibular gland excision: a retrospective analysis. Internat JHead Neck Surg 2006; 1: 1
  • 26. Preuss SF, Klussmann JP, Wittekindt C, Drebber U, Beutner D, Guntinas-Lichius O. Submandibular gland excision: 15 years of experience. J Oral Maxillofac Surg 2007;65:953-7.

Submandibular Bez Cerrahi Sonuçlarımız

Yıl 2020, Cilt: 17 Sayı: 1, 45 - 49, 29.04.2020
https://doi.org/10.35440/hutfd.651611

Öz

Amaç: Kliniğimizde submandibüler bez eksizyonu yapılan hastalara ait, semptom, demografik özellikler, klinik ve radyolojik tanı yöntemleri, cerrahi spesimen histopatolojik bulguları, cerrahi komplikasyonlar ve izlem bilgilerinin paylaşılmasıdır.Cerrahi sonuçlarımızın ve komplikasyonlarımızın literatürle karşılaştırılarak eksiklerimizi gidermek komplikasyon oranlarımızı düşürmek için yapabileceklerimizi araştırmak,hastaya daha iyi cerrahi sağlamak için yurtiçi ve yurtdışı yapılan uygulamaları araştırmaktır.
Materyal ve Metot: Bu çalışma, 2005-2019 yılları arasında üçüncü basamak bir hastane olan Harran Araştırma ve Uygulama hastanesi Kulak-Burun-Boğaz kliniğinde submandibular bez eksizyonu yapılmış olan 45 hastaya ait dosya bilgileri kullanılarak geriye dönük olarak düzenlendi. Kliniğimizde submandibülar bez eksizyonu yapılan hastalara ait, semptom, demografik özellikler, klinik ve radyolojik tanı yöntemleri, cerrahi spesmen histopatolojik bulguları ve cerrahi komplikasyonlar hasta dosyalarından geriye dönük olarak taranarak elde edildi.
Bulgular: Hastaların 30’u (%66,6) ağrılı şişlik,15'i (%33,3) ağrısız şişlik şikâyeti ile başvurmuştur. Cerrahi spesimenin histopatolojik incelenmesinde 20 hastada (%44,5) kronik sialadenit 13 hastada (%28,9) sialolitiazis, 5 hastada (%11) benign tümörler, 2 hastada (%4,5) malign tümörler, 4 hastada kazeifiye granülomatöz hastalık (%8,9) 1 hastada ranula (%2,2) saptanmıştır. Komplikasyonlar 2 hastada (%4,5) fasial sinir marjinal mandibüler dalına ait kalıcı paralizi, 1 hastada lingual sinir paralizisi (%2,2), bir hastada da ise yara yeri enfeksiyonu (%2,2) görüldü.
Sonuç: Submandibuler bezde kitle şikâyeti ile başvuran hastalarda tanı çoğunlukla kronik sialadenit ve sialolitiazis olmuştur. Trans servikal submandibuler bez eksizyonu,cerrahi tekniklere uyulduğunda ve seçilmiş hastalara uygulandığında,düşük komplikasyon ve nüks oranlarıyla yüz güldürücüdür.

Anahtar Kelimeler: Submandibular bez, Cerrahi, Komplikasyonlar

Destekleyen Kurum

YOK

Proje Numarası

E.35566

Kaynakça

  • 1. Açıkalın RM, Özbay İ, Veyseller B, et al. Submandibular Bez Eksizyonu: 43 Olgunun Analizi. Haseki Tıp Bülteni 2014;52(3):199-201. doi: 10.4274/haseki.1374
  • 2. Dalgic A, Karakoc O, Karahatay S, et al. Submandibular triangle masses. The Journal of craniofacial surgery 2013;24(5):e529-31. doi: 10.1097/SCS.0b013e3182a238f9
  • 3. Ellies M, Gottstein U, Rohrbach‐Volland S, Arglebe C, Laskawi R. Reduction of salivary flow with botulinum toxin: extended report on 33 patients with drooling, salivary fistulas, and sialadenitis. The Laryngoscope 2004;114(10):1856-60.
  • 4. Erbek SS, Koycu A, Topal O, Erbek HS, Ozluoglu LN. Submandibular Gland Surgery: Our Clinical Experience. Turkish archives of otorhinolaryngology 2016;54(1):16-20. doi: 10.5152/tao.2016.1467
  • 5. Harrison J, Epivatianos A, Bhatia S. Role of microliths in the aetiology of chronic submandibular sialadenitis: a clinicopathological investigation of 154 cases. Histopathology 1997;31(3):237-51.
  • 6. Lee YY, Wong KT, King AD, Ahuja AT. Imaging of salivary gland tumours. European journal of radiology 2008;66(3):419-36. doi: 10.1016/j.ejrad.2008.01.027
  • 7. Springborg LK, Moller MN. Submandibular gland excision: long-term clinical outcome in 139 patients operated in a single institution. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies 2013;270(4):1441-6. doi: 10.1007/s00405-012-2175-48.
  • 8. Bodner L, Azaz B. Submandibular sialolithiasis in children. J Oral Maxillofac Surg 1982;40(9):55l-4.
  • 9. Berçin S, Kutluhan A, Yurttaş V, Kanmaz A. Submandibuler sialolityazise yaklaşımımız. Yeni Tıp Dergisi 2009;26: 16-19.
  • 10. Siddiqui SJ. Sialolithiasis: an unusually large submandibular salivary stone. Br Dent J 2002;193:89-91.
  • 11. Perrotta RJ, Williams JR, Selfe RW: Simultaneous bilateral parotid and submandibular gland calculi. Arch Otolaryngol Head Neck Surg 1978;104(8):469-70.
  • 12. Lustmann J, Regev E, Melamed Y. Sialolithiasis: A survey on 245 patients and a review of the literature Int J Oral Maxillofacial Surg 1990;19 (3):135-8.
  • 13. Isacsson G, Isberg A, Haverling M, Lundquist PG. Salivary calculi and chronic sialoadenitis of the submandibular gland: A radiographic and histologic study. Oral Surg 1984;58(5): 622-7.
  • 14. Work WP, Hecht DW. Inflammatory diseases of the majorsalivary glands In: Papparella MM, Shumrick DF, editors.Otolaryngology Philadelphia. WB Saunders; 1980; p. 2235- 43.
  • 15. Spiro RH. Salivary neoplasms: overview of a 35-year experience with 2807 patients. Head Neck Surg 1986; 8: 177-84.
  • 16. Bentz BG, Hughes CA, Lüdemann JP, Maddalozzo J. Masses of the salivary gland region in children. Arch Otolaryngol Head Neck Surg 2000; 126: 1435-9.
  • 17. Paul D, Chaulan SR. Salivary megalith with a sialo-cutaneous and a sialo-oral fistula: A case report. J Laryngol Otol 1995;109(8):767-9.
  • 18. Rice DH. Diseases of the salivary glands non-neoplastic. In: Bailey BJ, Johnson JT, Kohut RI, eds. Head and Neck Surgery-Otolaryngology. Vol 1. Philadelphia: JB, Lippincott; 1993. p. 475-84.
  • 19. Lustmann J, Regev E, Melamed Y. Sialolithiasis: A survey on 245 patients and a review of the literature Int J Oral Maxillofacial Surg 1990;19 (3):135-8.
  • 20. Papaspyrou G, Werner JA, Sesterhenn AM. Transcervical extirpationof the submandibular gland: the University of Marburgexperience. Eur Arch Otorhinolaryngol 2014; 271: 2009-12
  • 21. Yılmaz İ, Çağıcı C A, Çaylaklı F, Akdoğan V, Özlüoğlu L N. Baş-Boyun kitlelerinde İnce iğne aspirasyon biyopsisinin yeri. Kulak Burun Boğaz İhtisas Dergisi 2008;18(4):211-15.
  • 22. Olubaniyi BO, Chow V, Mandalia U, Haldar S, Gok G, Michl P,et al. Evaluation of biopsy methods in the diagnosis of submandibularspace pathology. Int J Oral Maxillofac Surg 2014; 43: 281-5.
  • 23. Sellon E, Moody A, Howlett D. Ultrasound guided core biopsyis the diagnostic tool of choice in salivary gland swellings. BMJ2012; 345: e7782.
  • 24. Smith WP, Peters WJ, Markus AF. Submandibular gland surgery:an audit of clinical findings, pathology and postoperative morbidity. Ann R Coll Surg Eng 1993; 75: 164-7.
  • 25. De M, Kumar Singh P, Johnson AP. Morbidity associated withsubmandibular gland excision: a retrospective analysis. Internat JHead Neck Surg 2006; 1: 1
  • 26. Preuss SF, Klussmann JP, Wittekindt C, Drebber U, Beutner D, Guntinas-Lichius O. Submandibular gland excision: 15 years of experience. J Oral Maxillofac Surg 2007;65:953-7.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Aytuğ Buyruk 0000-0003-3378-5302

Ferhat Bozkuş

Proje Numarası E.35566
Yayımlanma Tarihi 29 Nisan 2020
Gönderilme Tarihi 27 Kasım 2019
Kabul Tarihi 21 Şubat 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 17 Sayı: 1

Kaynak Göster

Vancouver Buyruk A, Bozkuş F. Submandibular Bez Cerrahi Sonuçlarımız. Harran Üniversitesi Tıp Fakültesi Dergisi. 2020;17(1):45-9.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty